Provider Demographics
NPI:1275975245
Name:SAMY, SYLVIA HEMLY (LCSW)
Entity Type:Individual
Prefix:MS
First Name:SYLVIA
Middle Name:HEMLY
Last Name:SAMY
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:SYLVIA
Other - Middle Name:HELMY
Other - Last Name:ABDELMESEEH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LCSW
Mailing Address - Street 1:42002 HUMBER DR
Mailing Address - Street 2:
Mailing Address - City:TEMECULA
Mailing Address - State:CA
Mailing Address - Zip Code:92591-3803
Mailing Address - Country:US
Mailing Address - Phone:909-472-5676
Mailing Address - Fax:
Practice Address - Street 1:27403 YNEZ RD
Practice Address - Street 2:STE 205
Practice Address - City:TEMECULA
Practice Address - State:CA
Practice Address - Zip Code:92591-4616
Practice Address - Country:US
Practice Address - Phone:951-387-4823
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-19
Last Update Date:2022-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA63252101YM0800X
104100000X
CA74701101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No104100000XBehavioral Health & Social Service ProvidersSocial Worker